FULL SPECTRUM HEALTH CENTER LLC (NPI# 1629275177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629275177 |
| Entity Type | Organization |
| Organization Name | FULL SPECTRUM HEALTH CENTER LLC |
| Practice Address |
3836 Reading Rd Cincinnati OH 45229-1535 |
| Practice Telephone | 5132212111 |
| Practice Fax Number | 5132210111 |
| Mailing Telephone | 5132212111 |
| Mailing Fax Number | 5132210111 |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2008-05-30 |
| Authorized Official Name | DR. DOROTHY P SHAFFER (OWNER) |
| Authorized Official Telephone | 5132212111 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 35071837S | OH | Other Service Providers |
| Street Address |
3836 READING RD |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45229-1535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467444976 | Dorothy P Shaffer | Internal Medicine | 3836 Reading Rd, Cincinnati, OH 45229-1535 | 2005-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992325567 | The Kroger Co | Pharmacy | 3255 Eden Ave, Suite 336, Cincinnati, OH 45229 | 2020-04-23 |
| 1942834916 | Abigail Elizabeth Ugas | Genetic Counselor, MS | 3333 Burnet Ave., Ml 4006, Cincinnati, OH 45229 | 2020-02-27 |
| 1477112308 | City of Cincinnati | Pharmacy | 3559 Reading Road, Suite 101, Cincinnati, OH 45229 | 2019-06-13 |
| 1720548134 | Luis Andres Compres Brugal | Student in an Organized Health Care Education/Training Program | Uc Health Neurology 3113 Bellevue Avenue, Cincinnati, OH 45229 | 2019-03-21 |
| 1457816118 | Linda Sue Hughes | Counselor | 4531 Reading Road, Cincinnati, OH 45229 | 2019-02-07 |
| 1437654902 | Dimpal Patel | Physician Assistant | 3333 Burnet Ave # Mlc2004, Cincinnati, OH 45229 | 2018-03-27 |
| 1235657909 | Shauntel Stewart | Nurse's Aide | 4439 Reading Rd Ste 101, Cincinnati, OH 45229 | 2017-09-01 |
| 1336662055 | Diane Davis | Home Health Aide | 768 East Mitchell Ave, Cincinnati, OH 45229 | 2017-07-25 |
| 1265971683 | Lauren Michelle Schmitt | Psychologist | 3333 Burnet Ave., Ml 4002, Cincinnati, OH 45229 | 2017-02-17 |
| 1801257308 | Monica Renee Whitehead | Psychologist | Cincinnati Children's Hospital, 3333 Burnet Avenue, Ml 3015, Cincinnati, OH 45229 | 2016-03-10 |
| Find all providers in zip 45229 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710595327 | Katelyn Marie Gurren | Specialist | 5050 Madison Rd # N, Cincinnati, OH 45227-1491 | 2020-07-20 |
| 1497224398 | Kimberly Wayne Bolden | Specialist | 5560 Edger Dr, Cincinnati, OH 45239-7293 | 2018-11-20 |
| 1285153262 | Philip Jason Jemison I | Specialist | 5050 Madison Road, Cincinnati, OH 45227 | 2017-09-12 |
| 1720520612 | Westside Primary Care, LLC | Specialist | 4342 Harrison Ave, Cincinnati, OH 45211-3322 | 2016-11-09 |
| 1710439427 | Mayo Tamura | Specialist | 8 Enfield St, Cincinnati, OH 45218-1434 | 2016-10-28 |
| 1336696301 | Tyler Matthew Wynn | Specialist | 151 W Galbraith Rd Ste N2045, Cincinnati, OH 45216-1015 | 2016-09-07 |
| 1508220047 | Kenneth Gans | Specialist | 1112 Fenmore Dr, Cincinnati, OH 45237-5120 | 2016-04-11 |
| 1922469303 | Emily Maue | Specialist | 5014 Madison Rd, Apt 5, Cincinnati, OH 45227-1432 | 2016-03-14 |
| 1598162109 | Melissa Hudson | Specialist | 11770 Pippin Rd, Cincinnati, OH 45231-1158 | 2014-11-25 |
| 1336555481 | Steven Spreen | Specialist | 6814 Miami Bluff Dr, Cincinnati, OH 45227-4313 | 2014-07-09 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45229 |
Please comment or provide details below to improve the information on FULL SPECTRUM HEALTH CENTER LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.